Abundant Care Wellness Solutions, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ABUNDANT CARE WELLNESS SOLUTIONS, LLC

Practice address

9121 Dawes St
Detroit, MI 48204-2784

Phone

(313) 622-5169

NPI assigned

May 16, 2024

Last updated

May 16, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lanah Jairece DerricksonNPI 1083051494

Title

Ceo

Phone

(313) 622-5169

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lanah Derrickson

  • Licensed Practical Nurse
  • Novi, MI
  • NPI 1083051494
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1174372593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 DAWES ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482042784",
            "telephone_number": "313-622-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 DAWES ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482042784",
            "telephone_number": "313-622-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT CARE WELLNESS SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "DERRICKSON",
        "authorized_official_first_name": "LANAH",
        "authorized_official_middle_name": "JAIRECE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-622-5169",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wael Abukwaik
• Daniel Omran Abul-Khoudoud, MD
• Ayman Abulawi, MD
• Abundance of Grace Homecare
• Abundance of Love LLC
• Abundant Community Recovery Services
• Abundant Home Care Services, LLC
• Abundant Life Adult Day Program LLC
• Abundant Lifeskills Community Service
• Abundant Lifeskills Community Service (Abundant Life Community Services)

• Home Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.